HomeMy WebLinkAboutBLD29597 Plumbing and Mechanical - BLD Application - 11/22/1991 AA
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MASON COUNTY
DEPARTMENT of GENERAL SERVICES
P.O. BOX 186 SHELTON, WASHINGTON 98584 /
427-9670 DATE ISSUED L"' l)
PERMIT NO. ' -� J'I
OWNER NAME MAIL AOOPESS CITY STATE
ZIP PHONE
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DIRECTIONS "j �- r'� ? •o L� 2- 'S'�/ Z � ) G%t) �/
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LEGAL
MAIL ADORES$
CONTRACTOR NAME CITY sSTATE LICENSE NO zip PHONE
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USE OF
BUILDING
PLUMBING FIXTURES MECHANICAL FIXTURES
NO. 2.00 PER FIXTURE OR TRAP FEE _ NO. TYPE OF FIXTURE FEE
Zi WATER CLOSETS FORCED-AIR I GRAVITY TYPE FURNACE 6,00
BASINS Fl00RiSUSPEN0EOFURNACE
6.00
BATH TUBS BOi
R 1 COMPRESSOR 6.00
SHOWERS REIR/ALTERATION 6.00
WATER HEATERS Z, REIGERATION COMPRESSOR SYSTEh1 6.00
AUTO.WASHER AIANDLING UNITS 7.S0
SINKS -� HEAT•PUMPS
6.00
FLOOR DRAINS EACH GAS PIPING SYS.2.00 PER OUTLET
DRINKING FOUNTAINS VENT.FAN SYS.3.00 PER UNIT
LAUNDRY TRAYS WOOD STOVES 5.00
CONNECT TO CITY SEWER WOOD FURNACE 5.00
DISH WASHER 2
DISPOSAL
URINALS
PERMIT BASIC FEE 3.00 PERMIT BASIC FEE 10.00
TOTAL TOTAL
SPECIAL CONDITIONS: NOTICE: THIS PERMIT BECOMES NULL AND 11010 IF WORK OR
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS.OR IF CONSTRUCTION OR WORK S
SUSPENDED OR ABANDONED COR A PERIOD OF t80 DAYS AT ANY TIME AFTER WORK IS
CCMMENCED
OWNERS AFFIDAVIT: I CERTIFY THAT I AM ExEMPT FROM THE REQUIREMENTS OF CONTRACTORS AFFIDAVIT: I CERTIFY THAT I AM A CURRENTLY REGISTERED
THE CONTRACT OR REGISTRAT,ON LAW RCW 1827. AND AM AWARE OF THE MASON CONTRACTOR IN THE STATE OF WASHINGTON AND I AM AWARE OF THE OROI NANCE
COUNTY ORDINANCE REQUIREMENTS FOR WHICH THIS PERMIT IS ISSUED AND THAT ALL REQUIREMENTS REGULATING THE WORK FOR WHICH THIS PERMIT IS ISSUED ANO ALL
WORK DONE WILL BE IN CONFORMANCE THEREWITH NO CHANGES SHALL BE MADE WCRK DONE WILL BE IN CONFORMANCE THEREWITH NO CHANGES SHALL BE MADE
WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT
WITHOUT Flq$i OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT
X OWNER DATE '� q
XBY. d l �' -DATE10 - �r
FOR OFFICE USE ONLY
APPLICA710N ACCEPTED BY PANS CHECK BY BUILDING GRCUP APPROVEC:,`,R-SSUA NCE PERMIT VAL:OATION
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